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The whole world relies on this one U.S. company to fly Ebola patients

WASHINGTON POST                          Oct 28, 2014
By Josh Hicks
When it comes to transporting Ebola victims by air, the world relies on just one small U.S. company.


Phoenix Air has been using the isolation system below this aircraft to transport Ebola patients. (EPA/BRANDEN CAMP)

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Swiss Agency Approves Trial for Ebola Vaccine

ASSOCIATED PRESS                                 Oct. 28, 2014
  GENEVA-- The Swiss agency that regulates new drugs said Tuesday it has approved an application for a clinical trial with an experimental Ebola vaccine at the Lausanne University Hospital.

In this picture provided by the World Health Organization, a package of vials of the first shipment of the experimental vaccine VSE-EBOV is opened at the Geneva Cantonal hospital on Wednesday, Oct. 22, 2014. The World Health Organization (WHO) welcomes the donation by the government of Canada of 800 vials of an experimental candidate vaccine, VSV-EBOV, against Ebola virus disease. Clinical safety trials with this experimental Ebola vaccine have already begun in healthy human volunteers in Mali, the United Kingdom and the United States after showing very promising results in animal research. . (AP Photo/WHO/Mathilde Missioneiro) 

Swissmedic said the trial will be conducted among 120 volunteer participants with support from the U.N. World Health Organization. The experimental vaccine is to be initially administered on healthy volunteers who will be sent as medical staff to fight the Ebola epidemic in West Africa.

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CDC Chief Announces New Shift In Ebola Protocols

WASHINGTON--The  Centers for Disease Control and Prevention leader Dr. Tom Frieden announced changes to the U.S. response to Ebola and the guidance federal agencies are giving to state and local governments.

The new protocol stops short of the mandatory 21-day quarantines that some states have begun requiring. Instead, Frieden said, it relies on individual assessment and close monitoring. He also detailed several categories of risk among both airline passengers and the medical volunteers who he said have been doing "heroic work" in West Africa.

"High risk" individuals, Frieden said, include those who have cared for an Ebola patient and were accidentally poked by a needle or lacked protective gear. Those people, Frieden said, should isolate themselves in their homes and avoid all forms of mass transit and large gatherings.

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U.S. Ebola fighters head to Africa, but will the military and civilian effort be enough?

WASHINGTON POST                               Oct. 26, 2014

By Joel Achenbach and Lena H. Sun

Hundreds of Americans have flown to Liberia in the past few days. Thousands more are on the way.

 

American troops setting up field hospital in Liberia --NYTimes

This Ebola corps is a collection of doctors, nurses, scientists, soldiers, aviators, technicians, mechanics and engineers. Many are volunteers with nonprofit organizations or the government, including uniformed doctors and nurses from the little-known U.S. Public Health Service. Most are military personnel, snapping a salute when are assigned to their mission — “Operation United Assistance.” It does not qualify for combat pay, only hardship-duty incentive pay, which is about $5 a day — before taxes....

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Mobile-phone records are an invaluable tool to combat Ebola. They should be made available to researchers

THE ECONOMIST                          Oct. 25, 2014

With at least 4,500 people dead, public-health authorities in west Africa and worldwide are struggling to contain Ebola. Borders have been closed, air passengers screened, schools suspended. But a promising tool for epidemiologists lies unused: mobile cell phone data.

When people make mobile-phone calls, the network generates a call data record (CDR) containing such information as the phone numbers of the caller and receiver, the time of the call and the tower that handled it—which gives a rough indication of the device’s location. This information provides researchers with an insight into mobility patterns...

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French scientists roll out rapid diagnostic test for Ebola

 FIERCE DIAGNOSTICS                            Oct. 23, 2014

By

French scientists are developing a diagnostic tool that works similar to a home pregnancy test and can quickly identify the virus through a tiny fluid sample.

 

  CEA's Ebola testing kit uses strips to rapidly identify the presence of the virus in fluid samples.--Courtesy of France's Atomic Energy  Commission

France's Atomic Energy Commission (CEA) is teaming up with European pharma company Vedalab to roll out a user-friendly testing system than could diagnose Ebola in less than 15 minutes, the agency said in a statement. The kit, dubbed "Ebola eZYSCREEN," includes a hand-held device that reads small samples of blood, plasma or urine to detect the virus, and shows results in stripes through a window on the tool.

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MSF Protocols for Staff Returning from Ebola-Affected Countries

DOCTORS WITHOUT BORDERS/MEDECINS SANS FRONTIERE                                      OCT. 23, 2014

Doctors without Borders (MSF)  describes its specific guidelines and protocols for staff members returning from Ebola assignments. The guidlines were posted following the hospitalization of Dr. Craig Smith, one of its workers, in New York City yesterday.

See full description

http://www.doctorswithoutborders.org/article/msf-protocols-staff-returning-ebola-affected-countries

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U.S. considering quarantine for returning Ebola health workers: CDC

REUTERS                                         OCT. 24, 2014

By David Morgan

WASHINGTON  - The Obama administration is considering quarantining healthcare workers returning to the United States from the Ebola hot zone of West Africa, after a New York doctor who treated Ebola patients there tested positive for the virus.

Tom Skinner, a spokesman for the U.S. Centers for Disease Control and Prevention, told Reuters on Friday that quarantine is among a number of options being discussed by officials from across the administration.

Staff of the emergency medical services in France (SAMU) wear Ebola virus protection outfits during a press presentation at the Necker Hospital in Paris, October 24, 2014. Credit: Reuters/Philippe Wojazer

"There are a number of options being discussed pertaining to the monitoring and mobility of healthcare workers who are returning to the United States from affected countries," Skinner said.

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WHO says Ebola vaccine plans accelerating as trials advance

WHO ANNOUNCES  EBOLA VACCINE TRIALS WILL BE SPEEDED UP TO DECEMBER.
THREE RELATED STORIES.   (Scroll down)

REUTERS                                       OCT. 24

By Stephanie Nebehay and Kate Kelland

GENEVA/LONDON, Oct 24 (Reuters) - Trials of Ebola vaccines could begin in West Africa in December, a month earlier than expected, and hundreds of thousands of doses should be available for use by the middle of next year, the World Health Organization said on Friday.

Vaccines are being developed and made ready in record time by drugmakers working with regulators, the U.N. health agency said, but questions remain about their safety and efficacy which can only be settled by full clinical trials.

"Vaccine is not a magic bullet, but when ready they may be a good part of the effort to turn the tide against the epidemic," senior WHO official Marie-Paule Kieny told a news briefing after a meeting in Geneva of industry executives, global health experts, drug regulators and funders.

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Structural Adaptivity, Rebalancing by Watersheds - Part II

Here is the second part of my Rebalancing by Watersheds Exercise.  I presented the background work recently in my Part I post.  Part II contains a Concept Plan Map and a discussion of the more particular information and data that led me to the Plan. 

 

Both Parts I and Part II are only a condensed version of the full text I prepared.  Within the portions I left out for this version is a considerable amount of technical information that some readers may want to see.  I will provide more of it upon request. 

 

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